CLIA lab
CLIA 05D1100561: Adventist Health Ukiah Valley
Ukiah, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D1100561 belongs to Adventist Health Ukiah Valley in Ukiah, CA.
Certificate for Provider-Performed Microscopy Procedures, effective October 10, 2025, expires October 9, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate for Provider-Performed Microscopy Procedures
- Certificate effective
- October 10, 2025
- Certificate expiration
- October 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 8, 2009
- Facility type
- Rural health clinic
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D1100561
- Lab name
- Adventist Health Ukiah Valley
- Address
- 1050 N State St, Ukiah, CA 95482
- Phone
- (707) 463-7341
- Fax
- (707) 463-7305
Annual test volume the lab reported
- Waived tests
- 2,225
- Provider-performed microscopy tests
- 20
- Total
- 2,245
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Ukiah, CA
- Adventist Health Outpatient PavilionCertificate of Waiver, Ambulatory surgery center05D1092277
- Adventist Health Ukiah ValleyCertificate of Accreditation, Hospital05D0063759
- Adventist Health Ukiah ValleyCertificate for Provider-Performed Microscopy Procedures, Rural health clinic05D0612511
- Adventist Health Ukiah ValleyCertificate of Accreditation, Hospital05D0612598
- Adventist Health Ukiah ValleyCertificate of Waiver, Other05D2295148
- Ahpn-Primary CareCertificate of Waiver, Physician office05D2346624
- Dialysis Clinic, Inc. - UkiahCertificate of Waiver, End stage renal disease dialysis facility05D2027538
- Mcavhn Care and Prevention NetworkCertificate of Waiver, Independent05D2094903
- Medical Offices of Robert Rushton, IncCertificate for Provider-Performed Microscopy Procedures, Rural health clinic05D0712957
- Medstar Ambulance of Mendocino County IncCertificate of Waiver, Ambulance05D2064253
Related
Questions
What is the CLIA number for Adventist Health Ukiah Valley in Ukiah?
05D1100561, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Adventist Health Ukiah Valley hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D1100561 expire?
The CMS file lists October 9, 2027 as the certificate expiration date; the certificate took effect October 10, 2025.